Journal of Korean Academy of Nursing

An Exploration of the Life Experiences of Patients with Chronic Pain: Women with Rheumatoid Arthritis: Hea Kyung Hur; Journal of Nurses Academic Society 1997;27(1):13-25. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1997.27.1.13

Abstract PDF: Rheumatoid Arthritis(RA), a chronic and systemic inflammatory disorder, is characterized by joint pain, swelling and stiffness. Patients with RA suffer from joint pain and overall pain. The painful and disabling consequences of RA are accompanied by a variety of affective, cognitive, and behavioral changes. The purpose of this paper was to explore and describe the life experiences of RA patients by eliciting verbal description of their experiences. Participants were nine persons who were diagnosed with RA, and had if for more than six months. They were asked open ended and descriptive questions in order for them to talk about their experiences in their own terms. Interviews were tape recorded and transcribed verbatim. The transcripts were analyzed by Colaizzi method. From the protocols, 213 significant statements about life experience were organized into 83 formulating meanings which were then grouped into five theme clusters. The major themes that emerged from the analysis were 'Emotional Disturbances', 'Trying to Adapt to the Progress of Treatment', ' Change of Role Performances', 'Experiences related to Family'. The result of this study showed that RA patients and families need nursing care based on a deep understanding of their lived experiences in everyday life. Nurses and other health workers must develop rehabilitation programs that focus on the pain control, functional independence and psychosocial factors.

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Factors Influencing on Quality of Life in Aged Women with Chronic Pain: Jung Tae Son, Sun Rim Suh; Journal of Korean Academy of Nursing 2002;32(5):735-742. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.5.735

PURPOSE: This study was conducted to identify the pain characteristics, family support and physical functioning and to determine predictors of the quality of life in aged women with chronic pain. METHOD: The questionnaires were collected through direct interview by a trained research assistant from July 2 to August 24, 2001. Subjects were 108 women clients with chronic pain over 65 years of age. Data analyzed frequency, percentage, mean, Pearson's correlation, ANOVA and stepwise multiple regression by SAS. RESULT: Care providers were mostly spouses and daughters in law. Care providers who took care of elderly for a few hours a day had the highest percentile. Aged women had persistently had chronic pain of moderate intensity and was moderately satisfied with pain management. The mean score of disability due to pain was 3 on a 10 point scale. The mean scores of physical function and quality of life were moderate and there were negative correlations between pain characteristics, physical functioning, and quality of life at the range from r=-.46 to r=-.83. Satisfaction with care, duration of pain, disability due to pain, and physical functioning accounted for 56% of the variance in perceived quality of life for aged women with chronic pain. Disability due to pain was the most predictable variable of quality of life and physical function was the second . CONCLUSION: The results suggest that care by family, education in pain control, prevention of disability, and maintenance of physical function are important to improve and maintain quality of life in aged women with chronic pain. Therefore, there is a need for program development that enhance family support and nursing intervention that focuses on active pain control.

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EFFICACY OF QI-THERAPY (EXTERNAL QIGONG) FOR ELDERLY PEOPLE WITH CHRONIC PAIN
KYUNG HEE YANG, YOUNG HEE KIM, MYEONG SOO LEE
International Journal of Neuroscience.2005; 115(7): 949. CrossRef

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The Experience of Life Experiences among Patients with Chronic Low Back and Extremity Pain: Jin Hyang Yang; Journal of Korean Academy of Nursing 2005;35(5):955-966. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.5.955

Abstract PDF

Purpose

The purpose of this study was to understand the meaning and nature of pain experienced among patients with chronic pain. The present study adopted a hermeneutic phenomenological method which was developed by van Manen.

Method

The participants for this study were 4 men and 5 women, who were over the age of 20 with chronic pain more than 6 months. Data was collected by using in-depth interviews and observations from September, 2004 to December, 2004.The contents of the interviews were tape-recorded with the consent of the subject.

Result

The essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were ‘ untamed and unremitting pain’, ‘ the body as an obstacle’, ‘ continuity of suffering time as if the moment would never end’, ‘ a narrow radial range of action’ and ‘ separating from other people’.

Conclusion

Patients with chronic pain experienced and perceived the world through the filter of their pain. It is necessary for nurses to understand the experiences of chronic pain patients and to provide more empathic, supportive care. Further research is needed on nursing interventions that could help chronic patients cope with and find the meaning in their suffering.

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The Life of Elderly Women Living Alone
Chunmi Kim, Moon Hee Ko, Moon Jeong Kim, Joohyun Kim, Hee Ja Kim, Jin Ha Moon, Kyoung Seon Baek, Haeng-Mi Son, SangEun Oh, YoungAe Lee, Jung-Sook Choi
Journal of Korean Academy of Nursing.2008; 38(5): 739. CrossRef

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Study on Relations of Variables: Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly: Sung Ok Chang, Young Joo Park, Ji Won Youn; Journal of Korean Academy of Nursing 2003;33(1):26-33. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.1.26

Abstract

Purpose

The purpose of this study was to investigate the relationships among variables of somatic attribution, chronic pain, depression and chronic fatigue in the elderly.

Methods

Empirical data for testing hypothetical models was collected from 311 people over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explained causal relationship of variables.

Result

According to Accepted model, the relation of variables is that the somatic attribution is the influencing variable to chronic pain and depression and chronic pain and depression is the influencing variable to chronic fatigue.

Conclusion

The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.

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EFFICACY OF QI-THERAPY (EXTERNAL QIGONG) FOR ELDERLY PEOPLE WITH CHRONIC PAIN
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International Journal of Neuroscience.2005; 115(7): 949. CrossRef

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